Dr. Smith's ECG Blog

Instructive ECGs in Emergency Medicine Clinical Content

Associate Editors:
— Pendell Meyers & Ken Grauer (2018)
— Jesse McLaren & Emre Aslanger (2022)
— Willy Frick (2024) — Sam Ghali (2025)

editors

Teaching Images

The OMI Progression on ECG

Gersh BJ, Stone GW, White HD, Holmes DR. Pharmacological Facilitation of Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction: Is the Slope of the Curve the Shape of the Future? JAMA. 2005;293(8):979–986. doi:10.1001/jama.293.8.979

Click here for STEMI(-) Occlusion MI Patterns Reference Sheet

The ACS Spectrum using OMI vs. NOMI Primarily

The ACS Spectrum using STEMI vs. NSTEMI Primarily

Mortality Effects of Thrombolytics for Each Paradigm Extrapolated from FTT Meta-analysis

Differentiation of Anterior ST Depression: Posterior OMI or Global Supply/Demand Mismatch?

Click here for Terminal QRS Distortion Infographic with links to examples

Tachycardias Diagram (simplified)

Full Tachycardia Algorithm

ECG Leads and Myocardial Territories

SVT Video: